Linezolid-resistant enterococcus faecium clinical isolates from Pakistan: A genomic analysis
Document Type
Article
Department
Pathology and Laboratory Medicine; Pathology and Microbiology; Medicine; Paediatrics and Child Health
Abstract
Background: Linezolid-resistant Enterococcus faecium (LRE) is a global priority pathogen. Thirteen LRE were reported from clinical specimens between November 2021 and April 2023 at two laboratories in Karachi, Pakistan. We aimed to investigate the strain types and genes associated with linezolid resistance among these isolates. Whole genome sequencing (WGS) was performed and analyzed by multilocus sequence typing (MLST). The presence of linezolid resistance genes was identified using ResFinder v4.1.11 and the LRE-finder tool.
Results: Twelve isolates belonged to clonal complex 17 (CC17); ST80 (n = 10), ST612 (n = 1) and ST1380 (n = 1). Six isolates showed the presence of optrA gene and G2576T mutations in the 23S rRNA gene, while six showed poxtA and cfr(D) genes. One isolate showed the combination of optrA, cfr(D) and poxtA genes.
Conclusion: Our findings show the circulation of CC17 sequence types with a known outbreak potential and we identified molecular mechanisms of resistance that were not previously reported from Pakistan.
Publication (Name of Journal)
BMC Microbiology
DOI
10.1186/s12866-024-03491-2
Recommended Citation
Nasir, S. R.,
Zeeshan, M.,
Ghanchi, N.,
Saeed, N.,
Ghayas, H.,
Zaka, S.,
Ashraf, J.,
Jabeen, K.,
Farooqi, J.,
Hasan, Z.,
Mahmood, S.,
Arshad, M.,
Khan, E.,
Hasan, R.
(2024). Linezolid-resistant enterococcus faecium clinical isolates from Pakistan: A genomic analysis. BMC Microbiology, 24(1).
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_pathol_microbiol/1571
Comments
Pagination are not provided by the author/publisher.